Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $340.05 / $760.17	Facility		$67.61	$340.05	$760.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.83 / $30.51 / $31.16	Professional		$24.83	$30.51	$31.16
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $566.51 / $726.41 / $917.33	Facility		$566.51	$726.41	$917.33
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.83 / $14.83 / $15.00	Professional		$14.83	$14.83	$15.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.91 / $64.05 / $95.88	Professional		$41.91	$64.05	$95.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1.70 / $58.25 / $149.93	Facility		$1.70	$58.25	$149.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $20.76 / $33.08	Professional		$11.72	$20.76	$33.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.15 / $35.79 / $36.63	Professional		$35.15	$35.79	$36.63
Medcost Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $18.54 / $27.51	Facility		$16.05	$18.54	$27.51
Medcost Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $22.96 / $34.28	Professional		$16.05	$22.96	$34.28
Sentara Facility/Professional Facility Modifier Low / Median / High Price $20.10 / $43.72 / $4,071.00	Facility		$20.10	$43.72	$4,071.00
Sentara Facility/Professional Professional Modifier Low / Median / High Price $21.16 / $43.89 / $4,071.00	Professional		$21.16	$43.89	$4,071.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.67 / $16.25 / $21.67	Professional		$10.67	$16.25	$21.67